Global health care for children with special health care needs (CSHCN) often includes a complex array of services. Recently, access to rehabilitation services has become more challenging for these children and families. Because families are children's most important caregivers, it is essential that their experiences be included in improving access to rehabilitation services for CSHCN. The national database from the Family Partners Project, a collaborative enterprise between Family Voices and Brandeis University, was used in this study. Over 2000 families participated in the project in 1997-1998.
Objective: The purpose of this study was to identify predictors of access to therapies based on the health care experiences of families with CSHCN.
Analysis: A logistic regression model was developed with multiple predictor variables and a dichotomous dependent variable (no problems getting therapies; problems getting therapies).
Results: Both protective and risk factors were identified as significant predictors of access to therapies. Findings included the following:
ˇChildren in government-paid (OR=.683)or family-paid (OR=.517) plans had less problems with access to therapies than those in employer-paid plans.
ˇThe more managed care components in a child's plan, the greater the risk of having problems accessing therapies (OR=1.31).
ˇThe greater the family financial hardship due to a child's condition, the greater the risk of problems accessing therapies (OR=1.69).
Conclusion: These preliminary findings identify predictors to improve access to therapy for CSHCN. It is important to use this information to design the best health insurance plans for CSHCN.
Learning Objectives: At the conclusion of this session, the participant will be able to: 1. Identify protective factors in accessing therapies for CSHCN. 2. Identify risk factors in accessing therapies for CSHCN. 3. Discuss recommendations for health plans to improve access to therapies for CSHCN.
Keywords: Access and Services, Children With Special Needs
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: The Family Partners Project, a collaborative effort between Family Voices and The Heller School at Brandeis University
Disclosure not received
Relationship: Not Received.